KELVA WAYNE-GRADY NPI 1891251930

NPI Information

NPI: 1891251930
Provider Name: KELVA WAYNE-GRADY
Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Individual
Address:
1235 MOSSRIDGE DR
MISSOURI CITY, TX
ZIP 77489
Phone: (713) 446-1151
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Kelva Wayne-grady is a community based residential treatment facility, intellectual and/or developmental disabilities in Missouri City, TX. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. Kelva Wayne-grady NPI is 1891251930. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1235 MOSSRIDGE DR
MISSOURI CITY, TX
ZIP 77489-128
Phone: (713) 446-1151
Fax: (877) 349-3132

The enumeration date for this NPI number is 2/13/2019 and was last updated on 2/13/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	320600000X	Residential Treatment Facility, Intellectual and/or Developmental Disabilities		No
2	320700000X	Residential Treatment Facility, Physical Disabilities		No
3	320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities		Yes
4	385HR2060X	Respite Care	Respite Care, Intellectual and/or Developmental Disabilities	No
5	385HR2065X	Respite Care	Respite Care, Physical Disabilities, Child	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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